How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $302.00 | Facility | None | $141.25 | $213.80 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $758.58 | Facility | None | $165.96 | $165.96 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $151.36 Typical High $302.00 | Professional | None | $72.44 | $151.36 | $302.00 |
BCBS Kansas City Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $316.23 | Professional | None | $114.82 | $165.96 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $371.54 Typical High $691.83 | Facility | None | $134.90 | $371.54 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $239.88 | Professional | None | $75.86 | $181.97 | $239.88 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $288.40 Typical High $794.33 | Facility | None | $147.91 | $288.40 | $794.33 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $165.96 Typical High $831.76 | Professional | None | $83.18 | $165.96 | $831.76 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $223.87 | Professional | None | $69.18 | $100.00 | $223.87 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $70.79 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $38.02 | Professional | 53 · Discontinued | $28.18 | $28.18 | $38.02 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 30th of 51
$158
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.